Acta Chir Orthop Traumatol Cech. 2022; 89(2):164-170 | DOI: 10.55095/achot2022/025

Open Pelvic Fractures with a Faringer I Zone Injury: a Set of 3 Case Reports Treated in 2020Case report

POMETLOVÁ J.1,2,*, JEČMÍNEK V.2,3, JEČMÍNKOVÁ R.4,5
1 Ústav medicíny katastrof, Lékařská fakulta Ostravské univerzity, Ostrava
2 Klinika úrazové chirurgie, Fakultní nemocnice Ostrava
3 Katedra chirurgických oborů, Lékařská fakulta Ostravské univerzity, Ostrava
4 Katedra intenzivní medicíny, urgentní medicíny a forenzních oborů, Lékařská fakulta Ostravské univerzity, Ostrava
5 Oddělení centrálního příjmu, Fakultní nemocnice Ostrava

Open pelvic fractures are devastating injuries with high mortality and morbidity that require aggressive treatment and multidisciplinary approach to achieve the best results. We present three cases of open pelvic fracture with a Faringer I zone injury, which were treated at our level I trauma centre in 2020. The patients were treated with external fixation without the need for fecal diversion. None of the patients died. Early control of bleeding, appropriate treatment of soft tissues and prevention of fecal contamination are critical for the treatment of patients with open pelvic fractures. A multidisciplinary approach relying on an experienced and trained team is essential for successful treatment of these injuries.

Keywords: pelvis fracture, open fracture, trauma

Published: April 15, 2022  Show citation

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POMETLOVÁ J, JEČMÍNEK V, JEČMÍNKOVÁ R. Open Pelvic Fractures with a Faringer I Zone Injury: a Set of 3 Case Reports Treated in 2020. Acta Chir Orthop Traumatol Cech. 2022;89(2):164-170. doi: 10.55095/achot2022/025. PubMed PMID: 35621409.
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    References

    1. Burgess AR, Eastridge BJ, Young JW, Ellison TS, Ellison PS Jr, Poka A, Bathon GH, Brumback RJ. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma. 1990;30:848-856. Go to original source...
    2. Cannada LK, Taylor RM, Reddix R, Mullis B, Moghadamian E, Erickson M. The Jones-Powell Classification of open pelvic fractures: a multicenter study evaluating mortality rates. J Trauma Acute Care Surg. 2013;74:901-906. Go to original source... Go to PubMed...
    3. Davidson BS, Simmons GT, Williamson PR, Buerk CA. Pelvic fractures associated with open perineal wounds: a survivable injury. J Trauma. 1993;35:36-39. Go to original source... Go to PubMed...
    4. Faringer PD, Mullins RJ, Feliciano PD, Duwelius PJ, Trunkney DD. Selective fecal diversion in complex open pelvic fractures from blunt trauma. Arch Surg. 1994;129:958-963;discussion 963-964. Go to original source... Go to PubMed...
    5. Ferrera PC, Hill DA. Good outcomes of open pelvic fractures. Injury. 1999;30:187-190. Go to original source... Go to PubMed...
    6. Grotz MR, Allami MK, Harwood P, Pape HC, Krettek C, Giannoudis PV. Open pelvic fractures: epidemiology, current concepts of management and outcome. Injury. 2005;36:1-13. Go to original source... Go to PubMed...
    7. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58:453-458. Go to original source... Go to PubMed...
    8. Havluj L, Dzupa V, Gurlich R. [Damage Control Surgery in polytrauma patients with pelvic fractures. Is it possible to use internal fixation] (in Czech) Acta Chir Orthop Traumatol Cech. 2017;84:304-308. Go to original source... Go to PubMed...
    9. Hermans E, Edwars MJR, Gosings JC, Biert J. Open pelvic fracture: the killing fracture? J Orthop Surg Res. 2018;13:83. doi10.1186/s13018-018-0793-2. Go to original source... Go to PubMed...
    10. Jones AL, Powell JN, Kellam JF, McCormack RG, Dust W, Wimmer P. Open pelvic fractures: a multicenter retrospective analysis. Orthop Clin North Am. 1997;28:345-350. Go to original source... Go to PubMed...
    11. Lunsjo K, Abu-Zidan FM. Does colostomy prevent infection in open blunt pelvic fractures? A systematic review. J Trauma. 2006;60:1145-1148. Go to original source... Go to PubMed...
    12. Madeja R, Pleva L, Ječmínek V. 2015. Osteosyntéza pánve pomocí počítačové navigace - pelvic osteosynthesis using computer guided navigation. Úraz. chir. 2015;23:63-67.
    13. Mi M, Kanakaris NK, Wu X, Giannoudis PV. Management and outcomes of open pelvic fractures: an update. Injury. [Epub 2020] 2021;52:2738-2745. doi: 10.1016/j.injury.2020.02.096. Go to original source... Go to PubMed...
    14. Pohlemann T. Pelvic ring injuries: assessment and concepts of surgical management. In: Rüedi TP, Murphy WM (Eds). AO Principles of Fractures Management. Stuttgart, New York, Thieme 2000, pp.394-417.
    15. Pavelka T, Džupa V, Ryšavý M, Grill R, Báča V, Skála-Rosenbaum J, Chmelová J, Otčenášek M. [Pelvic ring injury]. Acta Chir Orthop Traumatol Cech. 2006;73:405-413. Go to original source... Go to PubMed...
    16. Salášek M, Pavelka T, Křen J, Weisová D, Jansová M. [Minimally invasive stabilization of posterior pelvic ring injuries with a transiliac internal fixator and two iliosacral screws: comparison of outcome]. Acta Chir Orthop Traumatol Cech. 2015;82:41-47. Go to original source... Go to PubMed...
    17. Tile M. Describing the injury: classification of pelvic ring injuries. In: Tile M, Helfet DL, Kellam JF (Eds). Fractures of the pelvis and acetabulum. Third ed., Lippincot Williams & Wilkins, Philadelphia, 2003, pp.130-167.
    18. Tseng S, Tornetta P. Percutaneous management of Morel-Lavallee lesions. J Bone Joint Surg Am. 2006;88:92-96. Go to original source... Go to PubMed...
    19. Yu B, Lee G, Lee MA, CHoi K, Gwak J, Park Y, Yoon Y, Lee J. The management of open pelvic fractures: a report of 2 cases. J Trauma Injury. 2020;33:269-274. Go to original source...

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